Job Openings >> Provider Relations and Credentialing Specialist
Provider Relations and Credentialing Specialist
Summary
Title:Provider Relations and Credentialing Specialist
ID:1178
Department:Administrative
Description

About Us
MainStreet is a company on a roll! We built and opened sixteen Urgent Care clinics throughout Alabama in just 28 months. Most of our clinics are rural-based clinics, but we also have a brand of pediatric urgent cares in suburban/urban settings. We are building more Alabama locations and are expanding into Georgia. Our team is growing!

http://www.mainstreetfamilycare.com/
https://www.kidsstreeturgentcare.com/

Our Provider Relations Manager is looking to bring a new member onto his team. Medical experience or credentialing experience is not required. We need someone who is obsessive compulsive about details and organization. This role interfaces with our doctors and nurse practitioners, requiring someone with good people and phone skills.

The Job
We are looking for a highly organized and detail driven individual with a team mindset who values accuracy and meeting deadlines. Candidates should be able to assist management in the onboarding of new healthcare providers by maintaining accurate personnel files, completing required insurance applications, assisting with emergent scheduling needs, and generally being a helpful presence on the team.

To be successful as Provider Relations and Credentialing Specialist, candidates should strive to be a resource to our healthcare providers while focusing on accuracy and timeliness. They should be prepared and responsive, willing to meet the changing needs of our clinics. The Provider Relations and Credentialing Specialist must be comfortable with computers, general office tasks, multiple deadlines and projects going simultaneously, and excel at following those projects through to completion.

Clinics are open seven days a week and extended hours. You should be prepared and available as needed to deal with issues that come up after hours and on weekends. Doctors and nurse practitioners may contact you at any time, any day of the year.

 

Typical Tasks

  • Compile and maintain accurate personnel files for NPs & MDs
  • Assist with collaboration setup and application for ABON/ALBME
  • Complete insurance applications for all new NPs & MDs while also providing requested corrections and recertifications to insurance companies
  • Setup and assist NPs with DOT certification
  • Maintain provider CAQH profiles and attestation
  • Assist in building staffing schedules and handling emergent scheduling needs
  • Various other tasks such as ordering scrubs, handling CME reimbursements, etc.

Kitchen Sink

  • We are a fast growing, fun company with lots of opportunity to improve, grow, and excel.
  • With that opportunity comes the need for everyone to put on any hat at any time – whether it be completing a tedious task or learning a new skill.

What About You?

  • You need to be the BOMB!
  • You need to be hard-working, driven, and completely tireless.
  • You need to be resourceful. You have never seen an obstacle you could not get over or a problem you could not solve. You get things done. Period.
  • You need to be ultra-organized.
  • No detail is too small. Details, details, details. Big focus on accuracy.
  • You need to have ironclad values.
  • We are open 7 days a week, extended hours, which means that the Provider Relations team must always be available and that means you too.
  • Bachelor’s Degree in related field required
  • Excellent computer skills, including full Microsoft Office suite preferable

More About You:
1. You are the BOMB!
Just making sure you got that :)

2. Time Management
You must be able to manage your time wisely and be willing to put in as many hours per week as needed. This is not a job for someone who simply wants to punch a time clock and earn a paycheck. It is a job for someone who wants to own their position and grow themselves and the business.

3. Self-Starter
If you need someone continually telling you what to do, this position isn’t for you.
If, after completing training and reviewing a plan, you’re the type of person who can run with it and find new and even better ways of doing things on your own, you’ll thrive.

4. Organized
If you’re not organized, this position isn’t for you.
If you enjoy having many irons in the fire at one time and thrive on managing them and your time effectively, you’ll do well!

5. Have an Entrepreneurial Spirit
If you’re looking to just earn a paycheck, this job isn’t for you.
If you’re ready to take ownership of the company and have a burning desire to grow the business and put in the hours it takes to successfully build a business, you’ll thrive. This often means working on things at home, working evenings and Saturdays, and working more than a traditional “40 hours per week”.

6. Relationship Building
If you’re not a people person, this job isn’t for you.
If you enjoy turning strangers into friends, growing and fostering relationships, and being involved in your community, you’ll excel.

7. Ironclad Ethics
If you don’t have a do the right thing, every time, all the time, approach, our company is not for you.

This opening is closed and is no longer accepting applications
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